| Victory Town Community Foundation | |
|
5200 Philadelphia Dr Dayton OH 45415-3608 | |
| (937) 979-1699 | |
| Not Available |
| Full Name | Victory Town Community Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5200 Philadelphia Dr, Dayton, Ohio |
| Authorized Official Name and Position | Cornelus M Hagans (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9377896792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Town Community Foundation 3375 W Siebenthaler Ave Dayton OH 45406-1827 Ph: (937) 789-6792 | Victory Town Community Foundation 5200 Philadelphia Dr Dayton OH 45415-3608 Ph: (937) 979-1699 |
| NPI Number | 1205392677 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205392677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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